Steffani Lynne Pouliot, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Hathorne, Massachusetts. Her current practice location is
Po Box 93, Hathorne, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(315) 247-1589.
Steffani Lynne Pouliot is licensed to practice in Massachusetts (license number 123196) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679964183.
Healthcare Provider's Profile
| Full Name | Steffani Lynne Pouliot |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | Po Box 93, Hathorne, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679964183
- Provider Enumeration Date: 02/05/2015
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648512160
- Enrollment ID: I20220209000308
Medical Identifiers
Medical identifiers for Steffani Lynne Pouliot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679964183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 123196 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5067 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | 123196 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Steffani Lynne Pouliot allows following entities to bill medicare on her behalf.
| Entity Name | Eliot Community Human Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679648182 PECOS PAC ID: 2062488000 Enrollment ID: O20040909001199 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Steffani Lynne Pouliot is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Steffani Lynne Pouliot, LICSW 100 Pleasant St, Marblehead, MA 01945-3398 Ph: (315) 247-1589 | Steffani Lynne Pouliot, LICSW Po Box 93, Hathorne, MA 01937-0193 Ph: (315) 247-1589 |
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